| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.59 | $16.22 | $77.62 | |
Cigna
| Professional | $13.18 | $17.38 | $23.99 | |
HMSA
| Professional | $22.39 | $25.70 | $29.51 | |
Kaiser Permanente
| Professional | $14.45 | $16.98 | $19.50 | |
United
| Professional | $14.13 | $17.38 | $41.69 | |
University Health Alliance
| Professional | $12.88 | $17.38 | $30.90 |